The court heard the police investigation caused major problems for the medical practice and patients had "suffered greatly".

Members of staff had been placed under suspicion because of Humphrey’s actions and a manager had left the practice suffering from stress.

Mr Ahmed said: "The mistrust between the remaining staff resulted in significant problems in managing the practice.

"Much needed appointments by patients who were ill could not be met in time or when they required them.

"It had a massive impact not only on the NHS but on the practice concerned at a time when the NHS budget is under increasing pressure.”

Humphrey, of Rathmell Road, Halton Moor, pleaded guilty to 14 offences of fraud and one of money laundering.

Michael Miller, mitigating, said the offending took place at a time when she was in a relationship with a man who was violent and controlling towards her and she had her own problems with prescription drugs.

Mr Miller said Humphrey had no previous convictions and said her young daughter would suffer if she was sent immediately to prison.

Humphrey was given a two year prison sentence, suspended for 18 months. She was also ordered to do 200 hours of unpaid work and take part in a 15-day programme designed to address her offending.

The court heard she had benefited by £34,028 as a result of her offending and had assets available worth £9,819. She was ordered to pay £9,819 in compensation to the NHS.